Senior Manager

Waltham, MA 02453

Posted: 06/05/2019 Employment Type: Direct Industry: Senior Staff Member Job Number: 3880522

Are you interested in working in Health Care Management? Our client is looking for a Senior Manager to join their team!

Responsibilities:
  • Ensures all Care Management policies and procedures are reviewed and recommends revisions
  • Monitors staff productivity, case reviews, chart audits, supervisory activities and balances staffing
  • Monitors staff compliance with webinars and training mandates and intervenes as needed
  • Reviews and signs off on monthly, quarterly and annual reports as delegated
  • Monitors caseload assignments and compliance with clinical documentation
  • Identifies utilization risks and medical trend management opportunities
  • Follows up on member grievance and critical incident investigations
  • Ensures practice standards that support care management are met
  • Supervises RN care managers and develops RN on call schedule
  • Identifies members for rounds and leads the rounds process
  • Participates in quality improvement initiatives
  • Engages in program conference calls

Qualifications:
  • Bachelor s Degree in Nursing required
  • Minimum of 5 years of experience in a nursing leadership role
  • Previous Operations management and business process redesign experience
  • Proficiency in PC and eWork workforce management
  • Strong critical, analytic and problem-solving skills
  • Excellent verbal and written communications skills
  • Ability to multitask within a fast-paced environment
  • Ability to lead and motivate a team
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